SEC Form 4 · accession 0001140361-15-039963
Fortem Resources Inc. · STBR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Caetano
Officer — CEO, Pres, Sec & Treasurer · Director
Period of report
Nov 3, 2015
Accepted (ET)
Nov 6, 2015 · 1:28 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001382231
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common SharesF1 | holding | — | — | — | 750,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options | $0.10 | Nov 3, 2015 | A | 2,000,000 | A | Nov 3, 2015 | Nov 3, 2020 | Common | 2,000,000 | 2,000,000 | D |
Explanation of responses
- F1Reflects a reverse split on the basis of 4:1